| NPI | 1881250009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 4547) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 107797) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |