| NPI | 1316554983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8753) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 7495) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2023-05-23 |