| NPI | 1518322536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC7379) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD LPC-MH20246) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2022-11-28 |