| NPI | 1679657068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7429) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 2749) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-09-09 |