| NPI | 1821240623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C2939) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC004386) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2013-08-13 |