| NPI | 1386132108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3935) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 2670) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2021-05-10 |