| NPI | 1215579438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6754) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 012460) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2022-04-14 |