| NPI | 1871527549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4702) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4327) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-09-01 |