| NPI | 1235502758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA LPC6043) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA LPC6043) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2022-08-02 |