| NPI | 1043751282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A12888) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 16-224) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-30 |