| NPI | 1083707145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW-01316) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA CW-01316) |
| 106H00000X Marriage & Family Therapist (Licence: PA CW-01316) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-03-24 |