| NPI | 1245826429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC05020) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C3622A) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2023-09-18 |