| NPI | 1598803520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6393) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5634) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2024-10-28 |