| NPI | 1467782128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2009036108) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA LPCC8020) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2021-12-13 |