| NPI | 1902968571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR CO768) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 27742) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-12-02 |