| NPI | 1699721480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 567) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 55) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2014-09-26 |