| NPI | 1770818460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6980) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6446) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2018-10-29 |