| NPI | 1699557371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC B001134) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW137721) |
| 1041C0700X Social Worker, Clinical (Licence: NC P018759) | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |