| NPI | 1841841723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 136636) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0015752) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |