| NPI | 1003223702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4493) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63483) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2021-06-09 |