| NPI | 1942747621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12748) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A12748) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2019-09-18 |