| NPI | 1043357833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA 004391) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA PC004391) |
| 1041C0700X Social Worker, Clinical (Licence: PA PC004391) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-09-04 |