| NPI | 1295110278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPCC.0014235) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0168151) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |