| NPI | 1194372441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0109577) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0109577) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2022-04-29 |