| NPI | 1285094680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 14112) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701006452) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2022-05-17 |