| NPI | 1023036738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3811) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 3272) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-01-27 |