| NPI | 1689947186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6501) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2743) |
| 101YP2500X Counselor, Professional (Licence: MD LC12061) | |
| 101YP2500X Counselor, Professional (Licence: GA 007824) | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2023-07-18 |