| NPI | 1538213210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 1833) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2014-12-10 |