| NPI | 1205188083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC 007726) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD LC3268) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2016-03-07 |