| NPI | 1275664252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 15539) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2006035644) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2024-08-22 |