| NPI | 1649281999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012041) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015674) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014718) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2023-03-23 |