| NPI | 1548705395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020712) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW130095) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2022-07-13 |