| NPI | 1851042105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW022178) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |