| NPI | 1295457596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 195153) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC3983) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2023-02-06 |