| NPI | 1932570264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 3773) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C2345A) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2017-09-20 |