| NPI | 1326215963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015870) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW124552) |
| 1041C0700X Social Worker, Clinical (Licence: PA SW124552) | |
| 1041S0200X Social Worker, School (Licence: PA SW124552) | |
| 104100000X Social Worker (Licence: PA CW015870) | |
| 1041S0200X Social Worker, School (Licence: PA CW015870) | |
| 101YM0800X Counselor, Mental Health (Licence: PA CW015870) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2011-03-10 |