| NPI | 1417128711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 5122) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 6924) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2021-03-29 |