| NPI | 1255718672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A14270) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11447) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2019-02-27 |