| NPI | 1194270983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 17247) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 010633944) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2024-02-15 |