| NPI | 1134695950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2368) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS P-0196) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2022-07-21 |