| NPI | 1699027607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC8173) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC14906) |
| 101YP2500X Counselor Professional (Licence: IL 178.008404) | |
| 101YP2500X Counselor Professional (Licence: VA 0701007056) | |
| 101YP2500X Counselor Professional (Licence: MO 2016034637) | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2019-01-05 |