| NPI | 1285091264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 3477) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 1688B) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-02-12 |