| NPI | 1215289210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C3859) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: OR C3859) | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2019-02-19 |