| NPI | 1932421633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 90462) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AL C1629A) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2017-03-27 |