| NPI | 1033501713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6627-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3005-226) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2017-10-09 |