| NPI | 1568832723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6646) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6182) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2017-08-18 |