| NPI | 1972080885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021296) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW135305) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2022-03-21 |