| NPI | 1912211574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 9619) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA A9580789) |
| 101YP2500X Counselor, Professional (Licence: MD M635067946734) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2021-05-20 |