| NPI | 1174088868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022971) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 12554) |
| 101Y00000X Counselor | |
| 104100000X Social Worker (Licence: PA SW136939) | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2023-02-23 |