| NPI | 1083822076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4814) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 00089560) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2015-11-10 |