| NPI | 1093258618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7006) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: LA 00217005) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2023-04-05 |