| NPI | 1376156661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024951) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 110287) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2024-08-21 |