| NPI | 1447704911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 082103) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 10973) |
| 101YP2500X Counselor, Professional (Licence: NE 1971) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2024-01-19 |