| NPI | 1801050232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 1884) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2007025933) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2011-02-11 |