| NPI | 1528737020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021134) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122648) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |