| NPI | 1205349032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MT 1000) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MT 1000) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-03-02 |