| NPI | 1982963054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 13311) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 22239) |
| 101YP2500X Counselor, Professional (Licence: MS 1511) | |
| 101YP2500X Counselor, Professional (Licence: LA 4890) | |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2024-08-29 |