| NPI | 1427324177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017544) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA CW017544) |
| 103K00000X Behavior Analyst (Licence: PA BH000073) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-04-02 |