| NPI | 1285604116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LISAC-1549) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LSMW 11417) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-04-01 |