NPI | 1427361641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017714) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000773) |
Enumeration Date | 2010-07-16 |
Last Update Date | 2014-10-03 |