| NPI | 1811212517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5287) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 288696) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2016-01-07 |