| NPI | 1528495231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 15994) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 303277) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2018-09-20 |