| NPI | 1316217789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2336) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2022-08-22 |