| NPI | 1154084705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 8389) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID 8389) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2024-05-13 |