| NPI | 1932583846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6457) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6007) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2021-12-13 |