| NPI | 1689964827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8242) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A8242) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2018-04-23 |