| NPI | 1992103048 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC prc15056) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC prc) | 
| Enumeration Date | 2014-12-05 | 
| Last Update Date | 2019-02-06 |