| NPI | 1295925345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 3131) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 716) |
| 101Y00000X Counselor (Licence: NE 1609) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2016-08-30 |