| NPI | 1275146227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WV 2331) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 7483) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2022-04-06 |