| NPI | 1265667927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW013661) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA CW013661) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA CW013661) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2023-09-15 |