| NPI | 1366608374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017302) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW125591) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2015-01-14 |