| NPI | 1295737773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA RN305048L) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: PA RN305048L) |
| Enumeration Date | 2005-08-13 |
| Last Update Date | 2007-07-08 |