| NPI | 1043973753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: C3020A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C3020A) |
| 101YP2500X Counselor, Professional (Licence: AL C3030A) | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |