| NPI | 1699963116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015724) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA CW015724) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2016-07-29 |