| NPI | 1669068722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW001998E) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW001998E) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |