| NPI | 1821494873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A11174) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 00119104) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |