| NPI | 1275871196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5471) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL 3490) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2023-08-01 |