| NPI | 1477793545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2010009472) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0187481) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2017-05-12 |