| NPI | 1417378530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 10596) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A10596) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2016-01-25 |