| NPI | 1265776934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW025285) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW128823) |
| 106H00000X Marriage & Family Therapist (Licence: SW128823) | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2024-11-27 |