| NPI | 1124049077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW014834) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904004567) |
| 106H00000X Marriage & Family Therapist (Licence: PA MF000438) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-09-18 |