| NPI | 1720490717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C3689) |
| 101YP2500X Counselor, Professional (Licence: NH 2223) | |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2021-02-08 |