| NPI | 1154514222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WV 380) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV AP00939403) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |