| NPI | 1053521260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS 1534) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS W4219) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |