| NPI | 1790276129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022155) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133876) |
| 104100000X Social Worker (Licence: OH S.1700064) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2022-04-28 |