| NPI | 1992461149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024114) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW137582) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2023-12-06 |