| NPI | 1275288375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 4360) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC15385) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2024-07-17 |