| NPI | 1518373745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8197) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 5328) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2024-07-11 |