| NPI | 1790169340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR M6441) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA BH000140) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |