| NPI | 1245863265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA SW140088) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2024-04-02 |