| NPI | 1083112114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-6659) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2019-09-24 |