| NPI | 1376521195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA CW-012345) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW-012345) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2012-05-29 |