| NPI | 1386658979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9941123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW013850) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2025-10-17 |