| NPI | 1336428176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN662315) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP019102) | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2018-10-19 |