| NPI | 1740496801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 2516) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C1171A) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2016-03-15 |