| NPI | 1932327038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9706) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4958) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2018-08-29 |