| NPI | 1356681308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5640.125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 1887) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2019-02-11 |