| NPI | 1306232152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A16872) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11500) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2023-09-19 |