| NPI | 1962789149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8981) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A8981) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2016-02-17 |