| NPI | 1942636451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 002968) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 262029) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2017-05-11 |