| NPI | 1952550923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011442) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2011) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2015-08-03 |