| NPI | 1891163192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021580) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW125589) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2021-01-22 |