| NPI | 1144409376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0004770) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 55936245) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2021-08-23 |