| NPI | 1588066351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2912-125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 1914-120) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2016-03-30 |