| NPI | 1053955187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A13712) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NC 00211221) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2020-03-09 |