| NPI | 1982937447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC MHL-032-497) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC MHL-032-497) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |