| NPI | 1386172088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8080) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 75742) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2020-06-16 |