| NPI | 1790215945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW133478) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV BP00944960) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2019-01-09 |