| NPI | 1730769217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19050) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW021002l) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |