| NPI | 1386718849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: P0203005) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR P0203005) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2013-11-15 |