| NPI | 1730432857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 9438) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A9438) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2016-01-20 |