| NPI | 1174960272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8563) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A8563) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2022-01-11 |