| NPI | 1104583186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 111592) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2024-05-09 |