| NPI | 1639415813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6394) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 6394) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2021-02-10 |