| NPI | 1245366947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW126833) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW016469) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-11-10 |