| NPI | 1174017321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13701) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NC 00304135) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |