| NPI | 1255691648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019264) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA sw122861) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2018-07-20 |