| NPI | 1053681809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011793) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2021-04-02 |