| NPI | 1780341222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022543) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA sw135926) |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2025-04-14 |