| NPI | 1265776934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW128823) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SW128823) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |