| NPI | 1558141945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW025903) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AK 194000) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2025-05-12 |