| NPI | 1336783125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04974) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C3420A) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2024-06-14 |