| NPI | 1730226531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2653) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 84391) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2018-01-22 |