| NPI | 1932649464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 000649-1) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV 0177) |
| 101Y00000X Counselor (Licence: NC 205228) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |