| NPI | 1952069551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023875) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA pa137936) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2023-12-14 |