| NPI | 1518332006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WV 1677) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV AP00942059) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |