| NPI | 1104088095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2008011095) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2235) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2017-02-09 |