| NPI | 1821387226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8121) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5613) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2016-01-11 |