| NPI | 1811306814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 009587) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA 004421) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2017-07-11 |