| NPI | 1225744477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW139703) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA SW139703) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-08-27 |