| NPI | 1073842480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7621) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NC 00090615) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2020-09-29 |