| NPI | 1881121895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021029) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: PA SW134339) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2020-01-22 |