| NPI | 1760644421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 005766) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4866) |
| 101YP2500X Counselor, Professional (Licence: SC 4968) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2024-04-12 |