| NPI | 1750565883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6478) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 2891) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2016-02-17 |