| NPI | 1235179284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 3578) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 1352) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |