| NPI | 1366510117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY R050052) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-09-07 |