| NPI | 1730587213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6756) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5813) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2022-10-04 |