| NPI | 1578969416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 244-125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 244-125) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2015-02-11 |