| NPI | 1417436601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-6941) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 6941) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2020-08-31 |