| NPI | 1396822169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 944) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 2497) |
| 101Y00000X Counselor (Licence: IA 116691) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-02-19 |