| NPI | 1053747832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3432) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL C2159A) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2016-02-22 |