| NPI | 1063820348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10801) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A10801) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2024-08-25 |