| NPI | 1184787053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 1259) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 2268) |
| 101YP2500X Counselor, Professional (Licence: NE 1263) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-10-02 |