| NPI | 1154462919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1751) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0012419) |
| 101YP2500X Counselor, Professional (Licence: NCC1751) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2018-03-08 |