| NPI | 1114325958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14007) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006006) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2024-06-27 |