| NPI | 1740561406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5794) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1585) |
| 101YP2500X Counselor, Professional (Licence: OR C4104) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2020-08-14 |