| NPI | 1083906770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 4358) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 2143) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2014-06-25 |