| NPI | 1821268624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW000390E) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 0478) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 10694) | |
| 101YM0800X Counselor, Mental Health (Licence: PA 5667) | |
| 104100000X Social Worker (Licence: NY 070952) | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |