| NPI | 1457433112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WV 459) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV APO0080099) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |