| NPI | 1083397046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL ALC05773) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2026-05-20 |