| NPI | 1972043701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25530) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW134150) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2024-10-07 |