| NPI | 1265837504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS 2126) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC007708) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2016-11-08 |