| NPI | 1952057622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW025729) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 19803) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06680600) | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2026-09-03 |