| NPI | 1508231283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW138765) |
| 101YM0800X Counselor, Mental Health | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2024-07-11 |