| NPI | 1881818169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-06587) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LISAC-11589) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-01-24 |