| NPI | 1033446794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WY 1794) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MT 1461) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2022-03-03 |