| NPI | 1992059265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0011896) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2016-10-04 |