| NPI | 1114228616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3107) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 72-6011595) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2023-08-30 |