| NPI | 1407494495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 3719) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1463) |
| 101Y00000X Counselor (Licence: NE 5719) | |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2024-07-26 |