| NPI | 1114316007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 003845) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 8076) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2023-06-18 |