| NPI | 1174828933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MS 1309) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2019-11-22 |