| NPI | 1972139202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 10397) |
| 101Y00000X Counselor | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-04-07 |