| NPI | 1235504267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11019) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11019) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2017-01-17 |