| NPI | 1003304932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 18034) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 012524) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2023-01-25 |