| NPI | 1396477923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SD LPC20690) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SD 20690) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |