| NPI | 1679995930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT 1601) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2019-10-25 |