| NPI | 1609904580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SD 91488) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SD 2107) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |