| NPI | 1538558853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10001) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A10001) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2017-11-09 |