| NPI | 1588271662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 358) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1634) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |