| NPI | 1972837573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8442) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 7684) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2023-08-24 |