| NPI | 1174763965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 2072) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 7240462-3503) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-27 |