| NPI | 1225584410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A12194) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 12194) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2022-06-24 |