| NPI | 1407350010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 6751) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 6751) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |