| NPI | 1700147980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC010706) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA 28890772) |
| 104100000X Social Worker (Licence: PA 28890772) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2020-10-13 |