| NPI | 1225196116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 12190) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-3681) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-09-09 |