| NPI | 1053787788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6954-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0014122) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2018-07-19 |