| NPI | 1417475237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6617-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 3944) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |