| NPI | 1114397726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0176081) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0176471) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2022-09-27 |