| NPI | 1750833851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 11424) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IA 082450) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2019-01-29 |