| NPI | 1487066692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 2838) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE P-1607) |
| 101Y00000X Counselor (Licence: NE 5728) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2021-10-12 |