| NPI | 1083257190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A15265) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 15265) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2023-02-24 |