| NPI | 1871643106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019936) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD 10468) |
| 1041C0700X Social Worker Clinical (Licence: MD 10468) | |
| 1041C0700X Social Worker Clinical (Licence: VA 0904014862) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2025-02-25 |