| NPI | 1063064806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 7131) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-10-03 |