| NPI | 1467829358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5788-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1978) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2016-11-29 |