| NPI | 1134411275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 7509) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 1366) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2022-03-22 |