| NPI | 1124586854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6450) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2021-08-06 |