| NPI | 1639534928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 857-12-1-15A) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2019-02-18 |