| NPI | 1215469101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 9180) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A12218) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-11-10 |