| NPI | 1003331695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 17309) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2537) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2023-10-11 |