| NPI | 1962769356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 8487) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A8487) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2023-10-25 |