| NPI | 1609248848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IA 088381) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2014041465) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2023-04-26 |