| NPI | 1053533943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA 005178) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NA) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-02-28 |