| NPI | 1881027795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 16687) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC5213) |
| 101YP2500X Counselor, Professional (Licence: WV 2303) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2022-08-30 |