| NPI | 1881109171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121353) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133065) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2021-07-02 |