| NPI | 1770670283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3031) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 1161) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2023-08-04 |