| NPI | 1235638248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 2938) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2938) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |