| NPI | 1427304070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS 1405) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS W3834) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-02 |