| NPI | 1962655845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018842) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW126576) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2024-01-12 |