| NPI | 1043470644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC LPC7121) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 484) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2019-05-22 |