| NPI | 1346662905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PR 4011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 304149) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2016-08-04 |