| NPI | 1558506311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 172653) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 580) |
| 101YP2500X Counselor, Professional (Licence: GA LPC005443) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2018-05-24 |