| NPI | 1891076782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE 0000565) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2022-12-19 |