| NPI | 1033791264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 10953-125) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: WI 4937-226) | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2024-05-16 |