| NPI | 1326320904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 32809) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 726-8-15-12-214) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2024-06-20 |