| NPI | 1558634535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 2585) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5951) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2018-07-18 |