| NPI | 1366820128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11552) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11552) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2018-11-15 |