| NPI | 1699371419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020814) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 8157) |
| 171M00000X Case Manager/Care Coordinator (Licence: PA 4237640) | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |