| NPI | 1649525577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 13408) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA LSW-129461) |
| 1041C0700X Social Worker Clinical (Licence: PA CW018336) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2021-06-15 |