| NPI | 1093264624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2016032642) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 10148) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2019-02-19 |