| NPI | 1386188712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6937125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2992226) |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2020-10-06 |