| NPI | 1578613238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 346) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 73) |
| 101Y00000X Counselor (Licence: NE 622) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2013-09-23 |