| NPI | 1821169954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 2396) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 2396S) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2022-06-03 |