| NPI | 1598880387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WV 457) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV CP00451847) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-11-12 |