| NPI | 1205369493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH23011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NH 4740) |
| 101YP2500X Counselor, Professional (Licence: RI MHC01653) | |
| 101YP2500X Counselor, Professional (Licence: TX 97136) | |
| 174400000X Specialist | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2025-01-28 |