| NPI | 1093145724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3031) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2791) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2015-11-11 |