| NPI | 1982229233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016088) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW023424) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2024-06-11 |