| NPI | 1154356095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 3333-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3333125) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-12-14 |