| NPI | 1841594363 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C2407) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C6779) | 
| Enumeration Date | 2010-12-23 | 
| Last Update Date | 2022-08-01 |