| NPI | 1063188183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LPC-8294) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-8294) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2024-10-29 |