| NPI | 1831461490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5743) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5361) |
| Enumeration Date | 2012-01-29 |
| Last Update Date | 2014-11-13 |