| NPI | 1619651858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024697) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW137408) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-07-08 |