| NPI | 1972196277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW023076) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA SW136451) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2023-02-15 |