| NPI | 1063877140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014933) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A12080) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2024-01-08 |