| NPI | 1912442344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 6923) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2021-06-08 |