| NPI | 1861495319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC S3261) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3261) |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2020-09-09 |