| NPI | 1023448297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA 007521) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: GA 00073318) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |