| NPI | 1700284700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 7225) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-5586) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2022-08-11 |