| NPI | 1083816730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4614) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2019-08-12 |