| NPI | 1053824706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2596) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2474) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2018-06-27 |