| NPI | 1215421995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5839) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA PLC5839) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2021-11-04 |