| NPI | 1730453036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 3958) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC F16792) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2015-06-09 |