| NPI | 1184666240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3588) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 1963) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2016-05-12 |