| NPI | 1902042195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 6202) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 002280) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2022-05-31 |