| NPI | 1811340755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CS021610) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133547) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2021-08-26 |