| NPI | 1649814732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0015523) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6396) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |