| NPI | 1528617974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16914) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017236) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50080251) | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |