| NPI | 1730374018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 6392) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2021-04-18 |