| NPI | 1073794467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5731-125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 3594-120) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2015-08-19 |