| NPI | 1053786004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2006022) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1511157) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2023-01-04 |