| NPI | 1063857191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4894) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2024-10-17 |