| NPI | 1093332900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701009867) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OK 7345) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2021-11-08 |