| NPI | 1154890887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2011097) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR 9066) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2023-04-01 |