| NPI | 1336617604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SD LPC20634) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2021-06-14 |