| NPI | 1871142521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A14942) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 7160) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-08-12 |