| NPI | 1093056467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5050) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2469) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2020-01-09 |