| NPI | 1205313749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14039) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A14039) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2023-03-18 |