| NPI | 1619718764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW025617) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW139506) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-06-12 |