| NPI | 1265887392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 6130) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC6130) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2023-01-20 |