| NPI | 1962932517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020746) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: PA SW134580) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-07-14 |