| NPI | 1821395591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 001352) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 001352-1) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2021-03-12 |