| NPI | 1215289293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO CSW.09923581) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 13929) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2022-07-21 |