| NPI | 1407995707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA CW004967L) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-02-09 |