| NPI | 1265932149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 10398) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 10398) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2019-06-25 |