| NPI | 1912489550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW023243) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW135403) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2022-12-16 |