| NPI | 1407857857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA 001983) |
| 101YP1600X Counselor, Pastoral (Licence: PA 001983) | |
| 106H00000X Marriage & Family Therapist (Licence: PA 001983) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-02-14 |