| NPI | 1508288226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019683) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA SW130926) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2017-11-28 |