| NPI | 1881932580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2012040526) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 2489) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2015-03-02 |