| NPI | 1568884567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 002144) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 003833) |
| 101YP2500X Counselor, Professional (Licence: AL 0547) | |
| 101YP2500X Counselor, Professional (Licence: AL 246322) | |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |