| NPI | 1962706283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8498) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NC 00113226) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2013-04-10 |