| NPI | 1356585715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 17307) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2007008419) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2023-12-12 |