| NPI | 1336533967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C3549) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO LPC.0005760) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |