| NPI | 1730467630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7386) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR R6697) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2023-05-09 |