| NPI | 1053608919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8679) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A8679) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2022-11-28 |