| NPI | 1063945459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 12147) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A12147) |
| 101YP2500X Counselor, Professional (Licence: NC 12147) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2020-09-25 |