| NPI | 1982097150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 011401) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI1912) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2020-04-09 |