| NPI | 1629575089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 13742) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A13742) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2020-09-01 |