| NPI | 1093813420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015510) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA CW015510) |
| 101YM0800X Counselor, Mental Health (Licence: PA CW015510) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-08-19 |