| NPI | 1811310543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW132200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA BH000972) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2015-11-16 |