| NPI | 1912341694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6393) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5408) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2021-09-12 |