| NPI | 1154726529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9124) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4797) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2022-05-19 |