| NPI | 1285635516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA 014772) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: PA 014772) |
| 104100000X Social Worker (Licence: PA 014772) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2010-03-11 |