| NPI | 1093171928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5257) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 5792) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |