| NPI | 1396091856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12392) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005248) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2017-01-25 |