| NPI | 1093097388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 5440) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 4721) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2017-12-11 |