| NPI | 1386202067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6979) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-09-26 |