| NPI | 1700901535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1268) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 6521) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2021-03-09 |