| NPI | 1497110423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5163) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR R3925) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2019-03-04 |