| NPI | 1295211993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6858) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13988) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |