| NPI | 1356701940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0013635) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006487) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2019-01-20 |