| NPI | 1033443684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 10538) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004466) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2020-04-10 |