| NPI | 1255446829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018610) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME LC3490) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-03-30 |