| NPI | 1225589039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW133165) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA bh001258) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |