| NPI | 1639196124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WV AP00938675) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 1564) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-09-11 |