| NPI | 1518327360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 009007) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 7177) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2022-01-29 |