| NPI | 1205166089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MA 11685) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701009264) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2022-04-29 |