| NPI | 1487879631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0080601) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 0080601) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2022-05-03 |