| NPI | 1396260089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A1296A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 1296A) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2018-04-11 |