| NPI | 1730072653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW021359) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 29616) |
| 1041C0700X Social Worker Clinical (Licence: IL 149.028047) | |
| 1041C0700X Social Worker Clinical (Licence: DC LC200001310) | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |