| NPI | 1043856461 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0000571) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC001628) | 
| Enumeration Date | 2019-11-20 | 
| Last Update Date | 2019-11-20 |