| NPI | 1275952814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5526) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005689) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2017-04-02 |