| NPI | 1093142176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 14235) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 1150) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2019-05-14 |