| NPI | 1730120148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW012721L) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34001232A) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-03-28 |