| NPI | 1275299398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC05028) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL ALC03889) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2023-10-06 |