| NPI | 1639739899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW025778) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 67927) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2025-05-14 |