| NPI | 1932742772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW024247) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW136664) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2025-02-10 |