| NPI | 1669833307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12173) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A12173) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2021-11-16 |