| NPI | 1326533639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 180) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 18) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |