| NPI | 1659584183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-194) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LSW-1342) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |