| NPI | 1043723794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS 0091) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS W0242) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |