| NPI | 1174092811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 2993) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0011787) |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2018-11-23 |