| NPI | 1962611640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PR 002421) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 8349) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2019-01-30 |