| NPI | 1467920025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24209) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW023283) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2023-10-25 |