| NPI | 1083225999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IA 105235) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 12230) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-10-12 |