| NPI | 1275999633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 3468) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3468) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |