| NPI | 1336690544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C5689) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-6040) |
| Enumeration Date | 2016-10-23 |
| Last Update Date | 2023-03-28 |