| NPI | 1780706085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2535) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 819) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-05-11 |