| NPI | 1356086201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL LPC04754) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C3631A) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2024-07-29 |