| NPI | 1972829638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016053) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA cw016053) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2018-05-01 |