| NPI | 1235423641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC20559) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 1225) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2024-01-10 |