| NPI | 1386479475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW025860) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW140092) |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2025-05-02 |