| NPI | 1750721239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW 128827) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2019-10-24 |