| NPI | 1013390640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 1564) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2001) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2018-11-13 |