| NPI | 1952655490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-35215) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-32351) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW021883) | |
| 1041C0700X Social Worker, Clinical (Licence: ID LCVSW-35215) | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2021-12-22 |