| NPI | 1235860388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0017203) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 010277) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-06-20 |