| NPI | 1215208277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2012004105) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD 7204) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2018-01-04 |