| NPI | 1366816282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6525) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA PLPC6525) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2020-02-26 |