| NPI | 1699108688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013293) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019684) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2023-03-13 |