| NPI | 1548695216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LCSW98234) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW72646) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2021-01-06 |