| NPI | 1932228822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MA 5498) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0014206) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2018-07-11 |