| NPI | 1760117857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012685) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW025618) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2025-03-20 |