| NPI | 1275166811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 11878) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7371) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |