| NPI | 1598865131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5643) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 379) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2024-07-03 |