| NPI | 1629198395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5226) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A0608052) |
| 101YP2500X Counselor, Professional (Licence: AR P0904024) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-05-12 |