| NPI | 1689291791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW123710) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW123710) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-07-11 |