| NPI | 1093133456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW127641) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA SW127641) |
| 1041S0200X Social Worker School (Licence: PA SW127641) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |