| NPI | 1891195749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 3890) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C2121A) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2020-12-14 |