| NPI | 1154089357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 12538276-3502) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: HI LSW-2913-0) | |
| Enumeration Date | 2021-12-04 |
| Last Update Date | 2021-12-04 |