| NPI | 1982075016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022242) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA CW022242) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 37LC00346700) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06095000) | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2023-01-09 |