| NPI | 1053621938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8244) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A8244) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2021-03-09 |