| NPI | 1386016020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11859) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11859) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2021-10-19 |