| NPI | 1841451630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW012668) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA CW012668) |
| 283Q00000X Psychiatric Hospital (Licence: PA CW012668) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2021-03-29 |