| NPI | 1154593895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015039978) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 6019) |
| 101YP2500X Counselor, Professional (Licence: NV 113) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2017-03-29 |