| NPI | 1033472642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3045) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-08-12 |