| NPI | 1255974895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 013538) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 16079) |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2024-11-15 |