| NPI | 1174003792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3806) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 00113305) |
| 101YP2500X Counselor, Professional (Licence: AL 00113305) | |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |