| NPI | 1760051478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA sw139002) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW024839) | |
| 251S00000X | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2024-06-14 |