| NPI | 1477017564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC SC12035) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 12035) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |