| NPI | 1922650696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021760) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133631) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2024-10-08 |