| NPI | 1639040470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW026575) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133299) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-11-12 |