| NPI | 1952786121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3417) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 0770) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2020-02-11 |