| NPI | 1306139704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1254) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS W4620) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |