| NPI | 1336690643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1709) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC009263) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2018-10-25 |