| NPI | 1801234901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 6323) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CRC 47784) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |