| NPI | 1104324508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13707) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13707) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2021-05-17 |