| NPI | 1083484158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 14617) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 147617) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |