| NPI | 1699816462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 2488) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AL 2488) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2016-02-18 |