| NPI | 1831703008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW021644) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW135294) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2021-02-04 |