| NPI | 1669835435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12171) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A12171) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-02-22 |