| NPI | 1033272000 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW025110) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115048) | 
| Enumeration Date | 2006-12-19 | 
| Last Update Date | 2024-10-09 |