| NPI | 1326338211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 12898) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 12999) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2022-01-25 |