| NPI | 1528292810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7086) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 35323) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2019-03-08 |