| NPI | 1831217579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1411) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 2718) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-04-15 |