| NPI | 1699141879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA C-09856) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-08264) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2022-06-15 |