| NPI | 1285017251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA BH000155) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA BH000155) |
| 103K00000X Behavior Analyst (Licence: PA BH000155) | |
| 1041C0700X Social Worker, Clinical (Licence: PA BH000155) | |
| 1041S0200X Social Worker, School (Licence: PA BH000155) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |