| NPI | 1588813091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA SW123831) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: PA PS017302) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2013-01-28 |