| NPI | 1891074290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 1175) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 1022) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |