| NPI | 1750772265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW-018581) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12076) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2022-04-25 |