| NPI | 1174534556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR LPC2835) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR C2835) |
| 101YP2500X Counselor, Professional (Licence: OR LPC2835) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-11-16 |