| NPI | 1053549147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC 5982) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2021-03-17 |