| NPI | 1316231269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11158) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A8781) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2015-02-27 |