| NPI | 1255098513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8370) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6940) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2022-09-06 |