| NPI | 1619218914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6693) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2018-03-30 |