| NPI | 1790338556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000124996) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2022-10-06 |