| NPI | 1407337900 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 9262) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 9262) | 
| Enumeration Date | 2018-08-23 | 
| Last Update Date | 2018-11-19 |