| NPI | 1093750036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA cw02806) |
| 101YP2500X Counselor, Professional (Licence: PA CW012806) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-11-07 |