| NPI | 1962732578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2357) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC002577) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2022-06-28 |