| NPI | 1417350737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10497) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NCC 320116) |
| 101YP2500X Counselor, Professional (Licence: NC A10497) | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2018-05-22 |