| NPI | 1316910664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 1470) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0013470) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2017-04-21 |