| NPI | 1871965509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6607-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2696-226) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2017-12-15 |