| NPI | 1629343546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5318-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1342-226) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2014-04-23 |