| NPI | 1861715732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3818) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005797) |
| 101YP2500X Counselor, Professional (Licence: CA 1743) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2021-01-23 |