| NPI | 1407002132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW 9438) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA CW016004) |
| 1041C0700X Social Worker Clinical (Licence: PA CW016004) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2012-06-27 |