| NPI | 1942491535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR 3706) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 546) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2016-01-05 |