| NPI | 1992093645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6180) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 688-6-1-11) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2015-07-08 |