| NPI | 1770137143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW022497) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW136244) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2024-04-02 |