| NPI | 1316308414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021959) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA 135053) |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2022-12-02 |