| NPI | 1205256922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A9887) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 997) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2019-08-26 |