| NPI | 1073209268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS P-0687) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2990) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-05-31 |