| NPI | 1407289101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7665) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: C1200052) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2023-11-08 |