| NPI | 1407497845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 38811) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPC-20611-SUPV) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2023-07-13 |