| NPI | 1639504566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6187) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5385) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2016-08-04 |