| NPI | 1144753724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SD 30937) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 2482) |
| 101YP2500X Counselor Professional (Licence: IA 085417) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2024-11-05 |