| NPI | 1134801699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 000709274) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: TN 000709274) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-12-18 |