| NPI | 1013622968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: UT 13700677-6004) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ND 1321-9-1-23-554) |
| 101YP2500X Counselor Professional (Licence: MN 4278) | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-10-15 |