| NPI | 1730890195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA cw026045) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW139607) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2026-04-16 |