| NPI | 1760111272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW024478) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW134498) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2024-05-28 |