| NPI | 1104395888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13225) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13225) |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2021-06-21 |