| NPI | 1609269992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5313) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 5313) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2019-11-13 |