| NPI | 1760129803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024846) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2024-07-09 |