| NPI | 1851656763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0015323) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 669) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2021-01-04 |