| NPI | 1972623171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9716) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C1751) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2016-10-17 |