| NPI | 1639735442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5302) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3210) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |