| NPI | 1396247565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5536) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 5536) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2023-06-23 |