| NPI | 1295996270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6539) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003959) |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2017-03-05 |