| NPI | 1962943886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4578) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2019-08-16 |