| NPI | 1962555714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR L3788) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR 3788) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-09-06 |