| NPI | 1891252490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 180011161) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 178010988) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |