| NPI | 1669843116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LPC04938) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C3693A) |
| 101YP2500X Counselor, Professional | |
| 101Y00000X Counselor | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2024-05-23 |