| NPI | 1790344588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018489) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 23889) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2024-11-03 |