| NPI | 1912170036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6666) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 203665) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2016-06-14 |