| NPI | 1639640816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021819) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW135739) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-07-14 |