| NPI | 1366688806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 002506) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 3545) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2022-12-21 |