| NPI | 1922315191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW-017084) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I-1000042) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2012-01-03 |