| NPI | 1356604888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 17896) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 9312) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2025-01-14 |