| NPI | 1851771299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 11597) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A11597) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2019-02-05 |