| NPI | 1386995793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0015717) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 5464) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2020-11-03 |