| NPI | 1043606460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11055) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11055) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2017-05-23 |