| NPI | 1164070629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL 23068) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 010634) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2024-08-15 |