| NPI | 1427301571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3972) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 13006) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2024-06-03 |