| NPI | 1578923413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2905) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-07-21 |