| NPI | 1629400437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2013027892) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2013027892) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2018-07-03 |