| NPI | 1376277806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022527) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA CW022527) |
| 104100000X Social Worker (Licence: UT 13269670-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 13269670-3501) | |
| 1041S0200X Social Worker, School (Licence: PA CW022527) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-04-07 |