| NPI | 1225294861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WV 1589) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV AP00942061) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |