| NPI | 1639474695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011013937) |
| Additional Taxonomies | 104100000X Social Worker |
| 101Y00000X Counselor | |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2018-12-30 |