| NPI | 1194198671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6944) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 6244) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2019-07-31 |