| NPI | 1700150919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A16170) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A8307) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2022-06-09 |