| NPI | 1518370956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6632) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 5501) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2023-01-23 |