| NPI | 1013797067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9633) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 7989) |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2024-03-29 |