| NPI | 1912253667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9576) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A9576) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2015-03-20 |