| NPI | 1548448293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 15088) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 001581) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2024-04-02 |