| NPI | 1679820922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 8890) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A8890) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2013-08-30 |