| NPI | 1528388972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 11663) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-4380) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2014-07-25 |