| NPI | 1548668296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11269) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11269) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2018-05-10 |