| NPI | 1225330160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018620) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW129395) |
| 101Y00000X Counselor (Licence: PA CW018620) | |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2023-10-16 |