| NPI | 1588288179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW027181) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW140883) |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2026-03-03 |