| NPI | 1417428632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW023524) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 84951) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-09-06 |