| NPI | 1063738201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA CW014709) |
| 101YP2500X Counselor, Professional (Licence: PA CW014709) | |
| 104100000X Social Worker (Licence: PA CW014709) | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |