| NPI | 1952595951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6176) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7871) |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2024-04-05 |