| NPI | 1952069213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-4138) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0018210) |
| 104100000X Social Worker (Licence: ID LSW-1689) | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |