| NPI | 1821479692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CMF0195051) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0174611) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2018-03-06 |