| NPI | 1366093569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA 009350) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 8693) |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2024-04-15 |