| NPI | 1386918647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016291) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 44SC05361400) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2023-08-29 |