| NPI | 1669946455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5386) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5173) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |