| NPI | 1093221954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA CW019847) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133023) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2021-03-17 |