| NPI | 1891083093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC S8919) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 8919) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2020-11-10 |