| NPI | 1194291930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14073) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A14073) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2023-07-03 |