| NPI | 1306035852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 2853) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 2853) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2023-07-25 |