| NPI | 1932297561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011897) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW124588) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW017687) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-02-04 |