| NPI | 1407053820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016913) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA SW012568L) |
| 106H00000X Marriage & Family Therapist (Licence: PA SW012568L) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2022-07-21 |