| NPI | 1295569341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 015033) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0021332) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-10-29 |