| NPI | 1700217833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022738) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 21325) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2024-07-18 |