| NPI | 1205016763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 1055-121) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 2725-125) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |