| NPI | 1538294442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03138) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0017360) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-08-12 |