| NPI | 1003223868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10845) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A10845) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-07-12 |