| NPI | 1306296249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 16220) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 16620) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2020-01-27 |