| NPI | 1801299805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012176) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW128678) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW018798) | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2019-07-26 |