| NPI | 1508065673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2007045289) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2007045289) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2018-06-26 |