| NPI | 1184887861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6615) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 004842) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-12-12 |