| NPI | 1275604803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 1060) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 1060) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-07-27 |