| NPI | 1508227653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6584) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6143) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2018-07-26 |