| NPI | 1396270336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4220) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C2846A) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2023-06-28 |