| NPI | 1275655961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC2503) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 2503) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-05-12 |