| NPI | 1578790739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC S3954) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3954) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2018-04-27 |