| NPI | 1386256022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C7446) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 7907) |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2023-08-10 |