| NPI | 1780858811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 267465-3502) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2019-10-02 |