| NPI | 1306462056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 4603) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL C3195A) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2023-07-14 |