| NPI | 1811200884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC008924) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 1693) |
| 101Y00000X Counselor (Licence: AR A1411156) | |
| 101Y00000X Counselor (Licence: KY 266674) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2023-10-06 |