| NPI | 1841567393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 9103) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A9103) |
| 101YP2500X Counselor, Professional (Licence: NC 9103) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2022-11-25 |