| NPI | 1629483979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AK 119580) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor School | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-08-03 |