| NPI | 1063764660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 4853) |
| 101Y00000X Counselor (Licence: LA CI4853) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2019-07-24 |