| NPI | 1639237712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P0810079) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR P0810079) |
| 101Y00000X Counselor (Licence: AR A0605030) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2016-03-31 |