| NPI | 1316170855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 15276) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA SW127338) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2025-07-08 |