| NPI | 1487101689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPCC.0014838) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0106517) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |