| NPI | 1528332673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPCMH2265) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD 1008) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2016-08-30 |