| NPI | 1528255056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 2130-226) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 15259-132) |
| 101Y00000X Counselor (Licence: WI 15328-133) | |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2014-08-19 |