| NPI | 1639297963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 2223) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1240) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-08-04 |