| NPI | 1710129176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4546-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 6927) |
| 101YP2500X Counselor, Professional (Licence: AZ 12232) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2011-06-01 |