| NPI | 1407036510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2395) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2008035370) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2018-04-16 |