| NPI | 1649619248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 10248) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A10248) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2021-11-30 |