| NPI | 1770927162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 9749-120) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1658-226) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |