| NPI | 1669927174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 11666) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A11666) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2022-10-13 |