| NPI | 1568917995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 2256) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5003) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2022-07-21 |