| NPI | 1447985882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 2437) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 13057) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-11-18 |