| NPI | 1407255607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 4680) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE P-1413) |
| 101Y00000X Counselor (Licence: NE 2262) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2016-07-15 |