| NPI | 1255516381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 2889) |
| 101YM0800X Counselor, Mental Health (Licence: PA 6314) | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW015693) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2022-12-08 |