| NPI | 1821442724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW023393) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904015218) |
| 104100000X Social Worker (Licence: PA SW133209) | |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2023-05-12 |