| NPI | 1417501677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001725) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019575) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-09-20 |