| NPI | 1386198943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11016) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11016) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2023-08-16 |