| NPI | 1346474533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 2925) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701004543) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2019-12-11 |