| NPI | 1336759398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023432) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME MC18113) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2025-07-24 |