| NPI | 1063054187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LPC7287) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 7287) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |