| NPI | 1710300199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A11539) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 6213) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2015-11-12 |