| NPI | 1326201955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6076) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A9396) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-11-26 |