| NPI | 1801236104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13467) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5497) |
| 101YP2500X Counselor, Professional (Licence: SC 5693) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2018-03-17 |