| NPI | 1336267657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 1899) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1109) |
| 101Y00000X Counselor (Licence: IA 03940) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-08-23 |