| NPI | 1225561988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6413) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 11061) |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2017-04-09 |