| NPI | 1629506050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0014650) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0015044) |
| 101Y00000X Counselor (Licence: CO 0001457) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-07-21 |