| NPI | 1154785996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4284) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0012901) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2021-05-19 |