| NPI | 1467413864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW-015993) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA SW125062) |
| 101YM0800X Counselor, Mental Health (Licence: PA SW125062) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-08-04 |