| NPI | 1417553868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8607) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: SC 7580) | |
| 101YP2500X Counselor, Professional (Licence: SC 7580) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2024-07-08 |