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 |