| NPI | 1598290389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW024007) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 1041C0700X Social Worker Clinical (Licence: VT 089-0134230) | |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2023-10-09 |