| NPI | 1205103637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 605-4-1-08-226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 605-4-1-08) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2018-07-11 |