NPI | 1023776507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA CW021785) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW021785) |
Enumeration Date | 2021-12-02 |
Last Update Date | 2024-05-16 |