| NPI | 1558666867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NV CP1149-R) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401010522) |
| 101YP2500X Counselor Professional (Licence: AK 107328) | |
| 101YP2500X Counselor Professional (Licence: MN 889) | |
| 101YP2500X Counselor Professional (Licence: NE 2106) | |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2019-05-13 |