| NPI | 1093930455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3854 125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPC 1098) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2018-11-15 |