| NPI | 1346605722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 10747) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE P-1376) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |