| NPI | 1700459427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016022) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW021920) |
| 104100000X Social Worker (Licence: NC C016022) | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2025-08-04 |