| NPI | 1316978257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3555) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC 3555) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-04-28 |