| NPI | 1962774661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR 6490823) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR 6490823) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |