| NPI | 1376043943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6059) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 6059) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2019-06-04 |