| NPI | 1619622206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P020224) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW138658) |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2025-06-19 |