| NPI | 1033789722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2482) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: AL 00117998) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |