| NPI | 1285307256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NE 3461) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 12701) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-11-01 |