| NPI | 1568876654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW022827) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW131521) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-07-12 |