| NPI | 1619582657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023876) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW138613) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-10-02 |