| NPI | 1073759908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW126453) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 4504) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW016934) | |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2012-08-20 |