| NPI | 1689984866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3686) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 232194) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2018-01-08 |