| NPI | 1184863250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 9479) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 9479) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2016-08-12 |