| NPI | 1952719122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 104435) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0011735) |
| 101YP2500X Counselor, Professional (Licence: CA 8521) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2023-02-07 |