| NPI | 1003288606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 6427) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 5990) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2016-09-30 |