| NPI | 1982056289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11448) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11448) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2019-03-22 |